4919 EVERGREEN WAY OLSONS 2018-01-02 MF Import

� Date n11t[� ^,11NV PUEIic WorYs Permp a , �� � Applicetion FO� U l� �/ � � � � D , BiCg.DeD�.+ PUBL� IC WORKS P M��12 1994 P°°To,aFaeFea s � ................................... Lesa ApPL Fae Paio S �j Print orT e Onl TO POSTING ��y��-��^�� �Ip �I --�^�1 t OF EVERETI' Balanca Oue S 1/-� — gldg. Permit Counter TERRA.vOMICS 320 108TH AVE. N.E., SUITE 40G BELLEVUE, WA 98Q04 450-2405 Owner Mailing Address City Zip Phone � BARGHAUSEN CONSULTING ENGINEERS 18215 72ND AVE. S0. KENT, WA 98032 251-6222 Applicant Mailing qddress City Zip Phone DescribeProposedWork RECRADE, RAISE AND REPAVE APPROXIMAT�LY 40,�00 S.F. OF EXISTING PARKING AREA FOR A FUTURE BUILDING PAD. v Prole�±Address(ifknown� NE CORA'ER EVERGREEN WAY AND SOTH STREET � Attacn tour(4) copies of pl2ns for proposed work- Draw to scale and note the following as applicable: � • F�operty Lines • Centerline of street � • Outline and dimensions of all existing and • Indicale North 9 nQ�n'/Q� � proposed structures on the lot • Show any proposed raaln tiNafi e 0:35RM OO�AIfb218 • Existing and proposed utilities � Shuw measurements / � � 00 NOT WRITE BELOW THIS LINE DPT.�O 335. � PERMITCONDITIONS PW/PC 4^c5.00 1.All calls for Inspection shall be made 24 hrs.in advance•phone 259-881 O. �I�F f156.4U � 2.All work shell be pedormed in accordance with this permit and curreni City of Everett Desig�'�Const�t�B Standards and Specificatfons. 3.Call LocaHon Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424-5555. � Q, l�-s �r aP�� •�c c��d `7=z�`��f � � � 0 �. ACKNOWLEDGEMEN'I' UF CONDITIONS _ The undersigned owner/applicant hereby agrees to ho!d and save harm- � less the City of Everett Irom any and all claims for damages, costs, ezpenses, or causes of action that may arise hecaue�e o( installation — � and maintenance ot the improvement or other ripht-of•way use hereto � applied for and further agrees to remove same upon notice from ihe A oved for C on � City and to replace public property damaged ther by. S-�, ��l��— — ,/- /7-5'1� ��.�.e� � i�G�+�.�cr FINAL INSPECTION Date Approved as Consiructed Signature of Applicant Date PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY ThiIS AF.RMIT MUST BE STARTED WITHIN 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett,WA 98201 BE DILIGENTLY PURSUED TO COAtPLET10N. THIS PERMIT MAY BE Phone:259•8810 CANCELLED BY TI1E CITY UPON ANY STOPPAGE OF WORK ON THIS . PROJECT OVER 90 DAYS DURATION.